Marques Rômulo A S, Cavalcante Rodrigo A C, Pimenta Lucas M C E
Department of Neurosurgery and.
School of Medicine, Federal University of Goiás, Goiânia, Goiás, Brazil.
Neurosurg Focus Video. 2020 Oct 1;3(2):V12. doi: 10.3171/2020.7.FOCVID2035. eCollection 2020 Oct.
A 52-year-old male was involved in a car accident 30 years ago. He presented with complete motor paralysis of the left upper limb. This evolved into severe neuropathic pain (mainly shocking and burning sensation) distributed from C5 to T1 dermatomes. He was first treated with spinal cord stimulation (SCS), which did not show efficacy for pain control, maintaining high visual analog scale (VAS) scores. He then received complementary treatment with left cervical DREZotomy to mitigate suffering and preserve SCS function to control "mirror pain." The video can be found here: https://youtu.be/iTvbLAZ3odM.
一名52岁男性30年前遭遇车祸。他出现左上肢完全性运动麻痹。这种情况演变成了严重的神经性疼痛（主要是电击样和烧灼样感觉），分布于C5至T1皮节。他最初接受了脊髓刺激（SCS）治疗，但对疼痛控制无效，视觉模拟评分（VAS）分数一直很高。随后，他接受了左侧颈髓后根入髓区切开术作为辅助治疗，以减轻痛苦并保留SCS功能来控制“镜像疼痛”。视频可在此处查看：https://youtu.be/iTvbLAZ3odM 。
